| NPI | 1174214696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYRON DEPUTY Owner 302-449-7484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |